Cerebral venous thrombosis
Headache and loss of consciousness.
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There is thrombosis in bilateral transverse sinuses extending into sigmoid sinus on right side with hemorrhagic infarcts in the right temporo-parietal lobe.
2 case question available
The patient remained stable in the hospital on anticoagulation therapy. Thrombophilia work-up was negative except nonspecific elevation of beta 2 glycoprotein.
Although cerebral venous thrombosis can result in the uncommon venous stroke, it is an important consideration because of its potential morbidity and mortality.
Recently with advanced imaging studies, the reported incidence of cerebral venous thrombosis is likely to increase, and now more cases may be diagnosed not only by neurologist but also by emergency physicians, internists and other specialties.
- Diagnosis and Management of Cerebral Venous Thrombosis,Gustavo Saposnik, MD, MSc, FAHA, Chair. Stroke. 2011; 42: 1158-1192